Individual
PAMELA DIAZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
10001 OLD CONCORD RD, CHARLOTTE, NC 28213-3646
(704) 547-1483
(704) 547-0052
Mailing address
10001 OLD CONCORD RD, CHARLOTTE, NC 28213-3646
(704) 547-1483
(704) 547-0052
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-27715
NC
101YP2500X
Professional Counselor
Primary
—
NC
Other
Enumeration date
10/12/2021
Last updated
10/23/2024
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